Dave Ouellette

Emergency Physician, Aspiring tennis master, Medical Simulation Afficionado, Medical Educator, Real Estate Investor, On the Path to Insanity.

[Dave Ouellette @Cognitive_Storm]

@westernsono M,7!$?7. Ififl f#h v@min o mil JL. I

[Christopher Hicks @HumanFact0rz]

Really looking forward to giving this talk, if for no other reason than the new-and-improved title. See you tomorrow, @emergencylondon.

[David Juurlink @DavidJuurlink]

Well now, look what just dropped at JAMA: the study pharma would never do.

A pragmatic RCT of opioids vs. nonopioids for chronic pain https://t.co/6BpQOY6dDx

Bottom line: opioids lose.

It's paywalled, so a few observations. /1

[David Juurlink @DavidJuurlink]

N=240 mostly middle-aged men with moderate-severe chronic pain (LBP or OA of hip/knee) despite analgesics, recruited from primary care. Worth noting who was excluded. /2

[Medical Axioms @medicalaxioms]

The worst doctors point out the errors of their colleagues. The best tell you about their own. Thus you can differentiate them.

[UMassTox @UMassTox]

Hydrocarbon exposure that causes trigeminal neuralgia? Trichloroethylene. #toxboardreview

[Skeptical Scalpel @Skepticscalpel]

How much should it cost to hold your newborn? $39.35? https://t.co/60E24qeQb2 My post on @kevinmd

[MedError.ca @SafeMedUse]

.@HealthCanada fast-tracks approval of nasal spray overdose antidote as an emergency measure https://t.co/n0xDJWrbWs #medsafety

[The BMJ @bmj_latest]

"Time pressures can force doctors to treat rather than counsel, and to investigate rather than reassure" https://t.co/z820nK7kld

[UMassTox @UMassTox]

Physostigmine vs Benzos for anticholinergic toxicity: Physo = decreased hospital stays + ICU admissions. Burns et al https://t.co/ixq46FBdcM

[Matt Griswold @mdgriztoxling]

Common formulation: physostigmine salicylate - yeah, giving physo also means you're giving the toxic part of aspirin. #toxthurs

[UMassTox @UMassTox]

Trinder's Assay - used to determine ASA level, can be falsely elevated due to hyperbilirubinemia, hyperlipidemia #toxthurs

[Michelle Welsford @WelsfordM]

A "pads on" approach for STEMI patients part of provincial STEMI protocol #paramedics save lives #EvidenceNotOpinion https://t.co/U7rohsnQ3a

[Atul Gawande @Atul_Gawande]

"For us to use our brains doesn't mean we lose our heart." @POTUS on science and humanity #WHFrontiers

[Atul Gawande @Atul_Gawande]

"Patients are having a user experience problem. Maybe we should tackle these problems that way." @zoecello #WHFrontiers

[Gavin Preston, M.D. @GavinPrestonMD]

Medical student, you will never be a "provider." You will be a physician and surgeon, an honorable & ancient profession. #Meded #Ethics

[Dr Jason Frank @drjfrank]

Failing well. #Meded #patientsafety https://t.co/YjnA9k5dag

[Skeptical Scalpel @Skepticscalpel]

Needless to say, I love this post. "I’m a Doctor. If I Drop Food on the Kitchen Floor, I Still Eat It" https://t.co/dqyWs2zMl4

[Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 @EMSwami]

Excellent review of thyroid emergencies in the ED w/ focus on pharmacologic treatment https://t.co/qmOwSNB0Fz @ALiEMteam

[Skeptical Scalpel @Skepticscalpel]

Close Contact Casting May Be As Good as Surgery for Ankle Fractures in Older Adults https://t.co/qrqxqrpvu6